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HomeMy WebLinkAboutBUSINESS PLAN Hazardous. Materials/Hazardous :Waste Unified Permit--' CONDITIONS OF.PERMI.TON-REVERSE SIDE · ~. '* This ~ermit is iss~ for ~ follo~-~ ~ H~ffious M~alsP~n · JOES ~DIATOR SERVICE:-~ ~' D H~ousW~teOn~EeT~~' LOCATION: 901 CALIFORNIA AVE . :. : ..: ~.- : '.. OFFICE OF ENVIRONMENTAL SER VICES' ' '" ~ ' ' 1715 Chester Ave., 3rd Floor : ,-~, Approved by: Bakersfield, CA 93301 ':/ k.~p~auey.~ i . . ~ssu, nat~' .... . Office of Ev~ervices Voice (661) 326-3979 FAX (661) 326-0576 Expiration Date: 'Ju~ 30.. 2003 SITE/FACILITY DIAGRAM FORM 5 NORTH SCALE: BUSINESS NAME: FLOOR: OF DATE:./ / FACILITY N~ME: UNIT ~''. OF (CHECK ONE) SITE DIAGR.~%! FACILITY DIAGR.%M CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r~ Floor, Bakersfield, CA 93301 FACILITY NAME~_,4, J ~b.l~ I~'~](~Y ~SPECTION DATE I O- ADDRESSfiOI ~o~,~-~ PHONENO. ~22 t~3 FACILITY CONTACT BUSINESS ID NO. 15-210- ~SPECTION TIME NLIMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~ Routine I~] Combined [~1 Joint Agency [~1 Multi-Agency ~ Complaint [~ Re-inspection OPERATION C V · COMMENTS Appr. opriate permit, on hand Business plan contact information accurate Visible address ..-- , Correct occupancy Verification of inventory materials Verification of quantities , Verification of location Proper segregation of material ~ , Verification of MSDS availability , Verification of Hat Mat training Emergency Verification of abatement supplies and procedures ~,, procedures adequate Containers properly labeled Housekeeping Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party White - Env. Svcs. Yellow - Station Copy Pink - Business Copy Inspector: CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3r'~ Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS c-'lo~ FAClLITYCONTACT_0G-_fN~ i:.% &O t--d'~ BUSINESS IDNO. 15-210- O6OC/-6r 6" INSPECTION TIME ~.O ~ i~ NUMBEROF EMPLOYEES 9__ Section 1: Business Plan and Inventory Program [~lM~.outine [~l Combined [~l Joint Agency I~ Multi-Agency f~ Complaint 1~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand ~L,- Business plan contact information accurate V' (.Jl'~ dale. .... ~,e-D~..~7, Visible address Correct occupancy b' Verification of inventory materials Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Haz Mat training Verification of abatement supplies and procedures Emergency procedures adequate Containers properly labeled t,," Housekeeping 1,," Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardou~w, aste on site?: [~Yes~ ~ No Questions regarding this inspection? Please call us at (661) 326-3979 l s -n -s(§ite R~n,4il~'/~ Party While- Env. Svcs. Yellow- S,a, ion Co~,y ~'i,~, - a,si,e~s Co~,y Inspector: JOES RADIATOR SERVICE · ..... SiteID: 215-000-000466 J JAN Manager : ~ ..... BusPhone: (805) 323-1263 Av~BYJ _ -- -- Map : 103 CommHaz : Moderate Location: 901 CALIFORNIA City : BAKERSFIELD ~ Grid: 3lA FacUnits: 1 AOV: CommCode: BAKERSFIELD STATION 06 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title JOSE M. EQEUDA / / Business Phone: (805) 323-1263x Business Phone: ( ) - x 24-Hour Phone : (805) 325-5210x 24-Hour Phone : ( ) - x Pager Phone : ( ) - x Pager Phone : ( ) - x Hazmat Hazards: Fire Press React ImmHlth DelHlth Contact : Phone: ( ) - x MailAddr: 901 CALIFORNIA AVE State: CA City : BAKERSFIELD Zip : 93304 Owner JOSE (JOE) M. ESQUEDA Phone: (805) 325-5210x Address : 11 PACIFIC ST State: CA City : BAKERSFIELD Zip : 93305 Period : to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certif'd: RSs: No Emergency Directives: ----- Hazmat Inventory One Unified List -- As Designated Order Ail Materials at Site,~ Hazmat Common Name... (SpooHazlEPA HazardsI Frm DailyMax IunitlMCP . MURATIC ACID DH L 8 GAL Hi SODIUM HYDROXIDE R DH S 125 LBS Mod OXYGEN F P IH G 282 FT3 Low ACETYLENE F P IH G 60 FT3 Hi JOES RADIATOR SERVICE SiteID: 215-000-000466 ~ Inventory Item 0001 Facility Unit: Fixed Containers on Site -- COMMON NAME / CHEMICAL NAME MURATIC ACID Days On Site 365 Location within this Facility Unit Map: Grid: SE CORNER ROOM #4 CAS# 7647-01-0 F STATE ~ TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Liquid /Pure Ii Ambient Ambient PLASTIC CONTAINER AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average GAL 8.00 GAL 8.00 GAL HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Muriatic Acid N 7647010 ~IAZARD ASSESSMENTS [ [, TSecret .No NoRS' BioHaz'' IN° Radioactive/AmountNo/ Curies EPA HazardsDH NFPA/// USDOT# MCPHi ~- Inventory Item 0002 Facility Unit: Fixed Containers on Site ~ ~ CbMMON NAME / CHEMICAL NAME SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: SW CORNER ROOM #4 CAS# 1310-73-2 STATE -- TYPE PRESSURE TEMPERATURE CONTAINER TYPE Solid Pure Ambient I Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum I Daily Average LBS 125.00 LBS I 50.00 LBS HAZARDOUS COMPONENTS %Wt.I oRS' CAS# 100.00 Sodium Hydroxide, Solution N 1310732 HAZARD ASSESSMENTS TSecretl RSIBioHaz Radioactive/Amount EPA Hazards [ NFPA USDOT# [ MCP No No No No/ Curies R DH / / / Mod 2 11/03/1998 JOES RADIATOR SERVICE SiteID: 215-000-000466 ~ Inventory Item 0003 Facility Unit: Fixed Containers on Site OXYGEN Days On Site 365 Location within this Facility Unit Map: Grid: CENTER ROOM #4 CAS# 7782-44-7 F STATE i TYPE PRESSURE i TEMPERATURE CONTAINER TYPE Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 282.00 FT3 282.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Oxygen, Compressed N 7782447 T~ I HAZARD ASSESSMENTS ecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No N No No/ Curies F P IH / / / Low o ~ Inventory Item 0004 Facility Unit: Fixed Containers on Site ACETYLENE Days On Site 365 Location within this Facility Unit Map: Grid: NW ROOM #3 CAS# 74-86-2 Gas Pure Ambient Ambient PORT. PRESS. CYLINDER AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average FT3I 60.00 FT3 60.00 FT3 HAZARDOUS COMPONENTS %Wt. ~S CAS# 100.00 Acetylene N 74862 HAZARD ASSESSMENTS TSecretNo NoRS [ BioHaz [I 'No Radioactive/AmountNo/ Curies FEPA Hazardsp IH NFPA/// USDOT# HiMCP 3 11/03/1998 JOES RADIATOR SERVICE SiteID: 215-000-000466 ~ Inventory Item 0005 Facility Unit: Fixed Containers on Site SODIUM HYDROXIDE Days On Site 365 Location within this Facility Unit Map: Grid: REAR OF BLDG CAS# 1310-73-2 Liquid Pure Ambient Above Ambient METAL CONTAINR-NONDRUM AMOUNTS AT THIS LOCATION Largest Container I Daily Maximum Daily Average GALI 288.00 GAL 288.00 GAL HAZARDOUS COMPONENTS %Wt. RNo~ CAS# 100.00 Sodium Hydroxide, Solution 1310732 HAZARD ASSESSMENTS -- TSecretl ~S BioHaz Radioactive/Amount I EPA HazardsI NFPA USDOT# MCP No N No No/ Curies R IH DH / / / Mod -4- 11/03/1998 F JOES RADIATOR SERVICE SiteID: 215-000-000466 Fast Format = Notif./Evacuation/Medical Overall Site --Agency Notification 01/07/1990 CALL 911 ~ Employee Notif./Evacuation 01/07/1990 THIS IS A TWO PERSON FACILITY. WE WORK SIDE BY SIDE ALL DAY LONG. THE FACILITY HAS 2 LARGE DOORS (FRONT & BACK) OPEN ALL DAY LONG. WE CAN EXIT THROUGH THE FRONT OR BACK & CALL 911. ~ Public Notif./Evacuation 01/07/1990 USE COMMON SENSE ENTRANCES AND EXITS ARE CLEARLY NOTICEABLE. A) FIRST AID KITS CLEARLY VISIBLE B) EXTINGUISHERS CLEARLY VISIBLE C) ASHTRAYS ARE CLEARLY VISIBLE D) WASTE RECEPTICLES CLEARLY VISIBLE Emergency Medical Plan 01/07/1990 USE COMMON SENSE, IF NECESSARY CALL 911 & CITY FIRE DEPT. MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 UP TO DATE FIRST AID KITS ARE AVAILABLE. 5 11/03/1998 F JOES RADIATOR SERVICE SiteID: 215-000-000466 Fast Format ~Mitigation/Prevent/Abatemt Overall Site --Release Prevention 08/06/1992 THE ONLY REAL HAZARDOUS MATERIAL THAT WE USE IS MURATIC ACID. WE HANDLE IT ONE GALLON AT A TIME. COMPRESSED GAS CYLINDERS CHAINED & USE PROPER VALVES AND FITTINGS CIP TANK COVERED SAFETY GLOVES ARE PRESENT WHEN USING CLEANING SOLUTIONS. -- Release Containment 08/06/1992 USE DRY ABSORBANT TO CONTAIN -- Clean Up 08/06/1992 IF A SPILL OCCURS WE'LL WASH IT WITH WATER. MINOR OIL SPILLS ARE CLEANED WITH PROPER DRY ABSORBANTS, DISPOSAL IN PROPER MANNER. Activation I Other Resource 6 11/03/1998 f JOES RADIATOR SERVICE SiteID: 215-000-000466 Fast Format ~ Site Emergency Factors Overall Site Special Hazards --Utility Shut-Offs 04/14/1992 A) GAS - EAST SIDE OF BUILDING B) ELECTRICAL - INSIDE BUILDING C) WATER - SOUTH SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO Fire Protec./Avail. Water 04/14/1992 ,PRIVATE FIRE PROTECTION - FIRE EXTINGUISHER AND TWO WATER HOSES FIRE HYDR3tNT - NORTHEAST CORNER OF PROPERTY. Building Occupancy Level 7 11/03/1998 JOES RADIATOR SERVICE SiteID: 215-000-000466 Fast Format TraininH Overall Site ~ Employee TraininH 08/06/1992 THERE IS 1 EMPLOYEE AT THIS FACILITY WE HAVE MATERIALS SAFETY DATA SHEETS ON FILE OWNER AND CO-WORKER HAVE VERBALLY REVIEWED HAZARDOUS CHEMICAL USAGE. BOTH PARTIES UNDERSTAND HOW TO PROPERLY USE AND DISPOSE OF HAZARDOUS MATERIALS. MATERIALS SAFETY DATA SHEETS AND BOOKLETS ARE WITHIN ACCESS TO ANY EMPLOYEE IN BUILDING. A) SAFETY LABELS ARE PRESENT ON ALL CHEMICAL CONTAINERS -- PaHe 2 -- Held for Future Use Held for Future Use I 8 11/03/1998 .Hazardous Materials/Hazardous Waste Unified Permit CONDITIONS OF PERMIT ON REVERSE SIDE ............. ~,~¢~,~,,~,~;~,,~,~,,,,~, ........... This permit is issued for the following: ,~,,?i'i'::'[: ~,i*:: :?~:?:;ii iiii;. :~.ii!}?.!iiii~. }iiii~i ii?. ii:~,:;,ila;;ilU~e[ground Storage of Hazardous Materials PERMIT ID# 015-0214)00466 ?i[¢i!t ~i ,ii:iI i!i [ ii~*~ ~!?~!!!~:!!![!~[~.~.:~!!!!!)~;!!~[!~!![!!!~!i}i~}[~!!~[!~ki=:}~gement Program LOCATION 901 CALl F O RN ~:::.7'~:}: }J~!~?.?:?~' B~'~$~.i~LD CA ... ~.:z::.'"..,. ~ .-' ¢" '. '~..:!~? .' ~ ' .' , · ,: ' : ~ ' r ~ ]~ ~ 7 ~'-.. B~er,field Fke D~ment Approv~ by: O~CE OFE~RO~AL 5~ ~CES ~ ~ph 1715 Chewer Ave., 3rd Floor Office of ~m~l S~i~ B~emfiel~ CA 93301 Voice (805),2~70 Expiration Date: ~Un~ ~0~ ~000 F~ (805) 326~576 )4/14/92 JOES RADIATOR SERVICE 215-000-000 Page Overall Site with 1 Fac. Unit U AUG 5 1992 General Information By , Location: 901 CALIFORNIA AV Map: 103 Hazard: Moderate Community: BAKERSFIELD STATION 06 Grid: 3lA F/U: 1AOV: 0.0 Contact Name Title Business Phone 24-.Hour Phone- JOSE M. EQEUDA (805) 323-1263 x (805) 325-5210 ( ) - x ( ) - Administrative Data Mail Addrs: 901 CALIFORNIA AV D&B Number: City: BAKERSFIELD State:· CA Zip: 93304- Comm Code: 215-006 BAKERSFIELD STATION 06 SIC Code: Owner: JOSE (JOE) M. ESQUEDA Phone: (~)3a~=~ Address: 11 PACIFIC ST State: CA City: BAKERSFIELD Zip: 93305- Summary reviewed the attached h.azardous mat~ria~ manage- ment plan for ~'"; and any correction$Cons~itute a complete and correc~ man- agement plan for my facility. 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 2 02 - Fixed Containers on Site Hazmat Inventory Detail in Reference Number Order · 02-001 MURATIC ACID Liquid 8 High ~.Delay Hlth GAL CAS #: 7647-01-0 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL8 I Daily Average8.00GAL I Annual Amount48.00GAL -- Location Storage Press T Temp PLASTIC CONTAINER IAmbient~AmbientlSE CORNER ROOM #4 -- Conc Components MCP List 100.0% IMuriatic Acid IHigh '1 02-002 SODIUM HYDROXIDE Solid 125' Moderate ~ Reactive, Delay Hlth LBS CAS #: 1310-73-2 Trade Secret: No Form: Solid Type: Pure Days: 365 Use: CLEANING Daily Max LBSI Daily Average LBS I Annual Amount 250.00 LBS -- 125 ~ 50.00 Storage~~Press T Temp Location DRUM/BARREL-NONMETAL IAmbient~ambientlSW CORNER~ROOM #4 -- Conc Components MCP List 100.0% ISodium Hydroxide, Solution IModeratel 02-003 OXYGEN Gas 282 Low · Fire, Pressure, Immed Hlth FT3 CAS #: 7782-44-7 Trade Secret: No Form: Gas Type: Pure Days: 365. Use: WELDING SOLDERING Daily Max FT3 Daily Average FT3 I Annual Amount FT3 -- 282 I 282.00! 6,768.00 Storage~~Press T Temp Location' PORT. PRESS. CYLINDER Iambient~AmbientlCENTER ROOM #4 - Conc Components MCP List 100.0% IOxygen, Compressed ILow I 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 3 02 - Fixed Containers on Site Hazmat .Inventory Detail in Reference Number Order 02-004 ACETYLENE Gas 60 High · Fire, Pressure, Immed Hlth FT3 CAS #: 74-86-2 Trade Secret: No Form: Gas Type: Pure Days: 365 Use: WELDING SOLDERING Daily Max FT3I Daily Average FT3 I Annual Amount FT3 60 ~ 60.00 120.00 Storage Press T Temp~ Location PORT. PRESS..CYLINDER Ambient~AmbientlNW ROOM #3 -- Conc Components ~ MCP List 100.0% IAcetylene IHigh I 02-005 SODIUM HYDROXIDE Liquid 288 Moderate · Reactive, Immed Hlth, Delay Hlth GAL CAS #: 1310-73-2 Trade Secret: No Form: Liquid Type: Pure Days: 365 Use: CLEANING Daily Max GAL288I~ Daily Average288.00GAL --~----.Annual Amount288.00.GAL-- Storage Press T Temp~ Location METAL CONTAINR-NONDRUM Ambient~Above IREAR OF BLDG -- Conc Components MCP ---/List 100.0% ISodium Hydroxide, Solution IModeratel 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 4 00 - Overall Site <D> Notif./Evacuation/Medical <1> Agency Notification CALL 911 <2> Employee Notif./Evacuation THIS IS A TWO PERSON FACILITY. WE WORK SIDE BY SIDE ALL DAY LONG. THE FACILITY HAS 2 LARGE DOORS (FRONT & BACK) OPEN ALL DAY LONG. WE CAN EXIT THROUGH THE FRONT OR BACK & CALL 911. <3> Public Notif./Evacuation USE COMMON SENSE ENTRANCES AND EXITS ARE CLEARLY NOTICEABLE. A) FIRST AID~KITS CLEARLY VISIBLE B) EXTINGUISHERS CLEARLY VISIBLE C) ASHTRAYS ARE CLEARLY VISIBLE D) WASTE RECEPTICLES CLEARLY VISIBLE <4> Emergency Medical Plan USE COMMON SENSE, IF NECESSARY CALL 911 & CITY FIRE DEPT. MERCY HOSPITAL - 2215 TRUXTUN AVE - 327-3371 UP TO DATE FIRST AID KITS' ARE AVAILABLE. 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 5 00 - Overall Site ~ <E> Mitigation/Prevent/Abatemt <1> ReleaSe Prevention THE ONLY REAL HAZARDOUS MATERIAL THAT WE USE IS MURATIC ACID. WE HANDLE IT.ONE GALLON AT A TIME. COMPRESSED GAS CYLINDERS'CHAINED & USE PROPER VALVES AND FITTINGS CIP TANK COVERED SAFETY GLOVES ARE PRESENT WHEN USING CLEANING SOLUTIONS. <2> Release Containment <3> Clean Up IF A SPILL OCCURS WE'LL WASH IT WITH WATER. MINOR OIL SPILLS ARE CLEANED WITH PROPER. DRY ABSORBANTS, DISPOSAL IN PROPER MANNER. <4> Other Resource Activation 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 6 00 - Overall Site <F> Site Emergency Factors <1> Special Hazards <2> Utility Shut-Offs A) GAS - EAST SIDE OF BUILDING B) ELECTRICAL - INSIDE BUILDING C) WATER - SOUTH SIDE OF BUILDING D) SPECIAL - NONE E) LOCK BOX - NO <3> Fire Protec./Avail. Water 3A SEC 4) FIRE EXTINGUISHER AND TWO WATER HOSES FOR FIRE PROTECTION. 3A SEC 5) FIRE HYDRANT LOCATED ON THE NORTHEAST CORNER OF PROPERTY. <4> Building Occupancy.Level 04/14/92 JOES RADIATOR SERVICE 215-000-000466 Page 7 00 - Overall Site <G> Training <1> Page 1 THERE ARE ? EMPLOYEES AT THIS FACILITY. ~O WE.HAVE MATERIALS SAFETY DATA SHEETS ON FILE? ~ OWNER AND CO-WORKER HAVE VERBALLY REVIEWED HAZARDOUS CHEMICAL USAGE. BOTH PARTIES UNDERSTAND HOW TO PROPERLY. USE AND DISPOSE OF HAZARDOUS MATERIALS. MATERIALS SAFETY DATA SHEETS AND BOOKLETS ARE WITHIN ACCESS TO ANY EMPLOYEE IN BUILDING. A) SAFETY LABELS ARE PRESENT ON ALL CHEMICAL CONTAINERS <2> Page 2 as needed <3> Held for Future Use <4> Held for Future Use CITY of BAKERSFIELD (t~'~e or prin~ name) RECEIVED Do hereby c~-ti~-- ' ~= ~? that I' have reviewem the FEB HAT_. MAT. DIV. attached Hazardous Haterials business plan for 00,,~ . (name of business) and that it along with the attached additions or corrections constitute a complete and correct Business Plan for m,v facilit.v. -s2~na~t[be ~ ~ ~ -c[~te ' BUSINESS NflI~E JOES ATOR SERVICE ID Zl,.S-GGO-(~4G$ LOCATION 901 CALIFORNIA AV HIGH HAZARD RATING 1. OVERVIEW LAST CHANGE 04/Zl/88 BY ESTER JURIS CODE ZtS-00G JURIS BAKERSFIELD STATION 08 MEP PAGE 103 GRIO 3lA FRCILITY UNITS 1 HAZARD RATING 3 RESPONSE SUMMARY 2A SEC 4) NO PRIVATE RESPONSE TEAM EMERGENCY CONTACTS 2A SEC 2) JOSE M. EQEUDA JR. 3Z3-1ZG3 OR 32S-5Z10 UTILITY SHUTOFFS 2A SEC 3) A) GAS - ERST S10E .OF BLDG B) ELECTRICAt. - INSIOE BLDG C) WATER - S SIDE OF 8LDG D) SPECIAL - NONE E) LOCK BOX - NO- Z, NOTIFICATION / PUBLIC EVACUATION LAST CHANGE / / BY < NO INFORMATION RECORDED FOR THIS SECTION > PAGE 1 IZ/Z3/88 1S:S6 MATERIAL SAFETY DATA SYSTEMS, INC. (DOS)B48-6800 BUSINESS NAME JOES RADIATOR SERVICE ID NUMBER Z15--~00-000466 LOCATION 901 CALIFORNIA AV HIGH HAZARD R~TING 3 3. HRZ MAT TRAINING SUMM~RY L~ST CHANGE / / BY < NO. INFORMATION RECORDED FOR THIS SECTION > LOCAL EMERGENCY MEDICAL ASSISTANCE LAST CHANGE 04/21/88 BY ESTER SEC 5) USECOMMON SENSE, IF NECESSARY CALL 9ll & CITY FIRE DEPT. MERCY HOSPITAL - ZZ1S TRUXTUN AVE - 3Z7-3371 PAGE 2 12.123188 MATERIAL SAFETY .DATA SYSTEMS, INC. (80S) B48-B80~ BUSINESS NAME JOES ATOR SERVICE ID N R Z1S-OOO-OOO4GG LOCATION 901 CALIFORNIA AV HIGH HAZRRD RRI'ING 3 FACILITY UNIT 01 A, OVERALL HAZARDOUS MATERIALS INVENTORY LAST CHANGE 04/Zt/88 BY ESTER ID TYPE NAME M~X AMT UNIT HAZARD LOCATION CONTAINMENT USE 1 PURE MURATIC ACID 8 G~L. HIGH SE CORNER ROOM ~4 PLASTIC CONTAINER£S] CLEANING IO PERCENT COMPONENTS HAZARD LIST 1078,0Z 100.0 MURIATIC ACID HIGH Z PURE SODIUM HYDROXIDE 1~5 LBS HIGH SW CORNER ROOM ~4 DRUMS OR BRRR NON MET, CLEANING ID PERCENT COMPONENTS HAZARD LIST t560.00 100.0 SODIUM HYDROXIOE, SOLUTION HIGH 3 PURE OXYGEN ZB2 FT3 HIGH CENTER ROOM ~t4. PORTABLE PRESS. CYLo WELOING/SOLOERING ID PERCENT COMPONENTS HAZARD LIST 23S~.00 ~00.0 OXYGEN, COMPRESSED HIGH 4 PURE 8CETYLENE 60 FT3 EXTREME NW ROOM ~3 PORTABLE PRESS. CYL. WEt. DING/SOLDERING ID PERCENT COMPONENTS HAZARD LIST 1~41.00 100,0 ACETYLENE EXTREME 5 PURE SODIUM HYDROXIDE ZBB GAL HIGH SOUTH OF SHOP METAL CONTAINERS CLEANING ID PERCENT COMPONENTS HAZARD LIST ~560,00 100.0 SODIUM HYOROXIOE, SOLUTION HIGH PAGE 3 IZ/Z3/@B 1B:SG MATERIAL SRFETY DATA SYSTEMS, INC. (805) B48-G800 BUSINESS NAME JOES RADIATOR SERVICE ID NUMBER ZtS-~O-OOO4GS LOCATION 901 CALIFORNI~ AV HIGH HAZARD RATING 3 B. FIRE PROTECTION / WATER SUPPLIES LAST CHANGE 04/Z1/88 BY ESTER 3A SEC 4) FIRE EXTINGUISHER AND TWO WATER HOSES FOR FIRE PROTECTION. SEC S) FIRE HYDRANT LOCATED ON THE NORTHEAST CORNER OF PROPERTY. O. EMPLOYEE NOTIFICATION / EVACUA'rlON LAST CHANGE 04/Z1/88 BY ESTER SEC 2) THIS IS A TWO PERSON FRCI[.ITY. WE' WORK S10E BY SIDE RLL DRY LONG. 'THE FACILITY HAS Z t, ARGE DOORS (FRONT & BACK) OPEN ALL DAY LONG. WE CAN EXIT THROUGH THE FRONT OR BACK & CALL 911. PAGE 4 IZ/Z~/88 1S:SG MATERIAl_ SAFETY DATA SYSTEMS, INC. (805) G48-G800 BUSINESS NAME JOES ATOR SERVICE ID Z1S-<~O0-OOO48G LOCATION 90! CRI_IFORNIR RV HIGH HRZRRD RATING 3 E. MITIGATION / PREVENTION / ABATEMENT LAST CHANGE 04/Z1/88 BY ESTER SEC 1) THE ONLY REAL HAZARDOUS MATERIAL THAT WE USE IS MURAT'IC ACID. WE HANOLE IT ONE GALLON AT A TIME. IF A SPILL SHOULO OCCUR WE'LL WASH IT WITH WATER. COMPRESSED GAS CYLINDERS CHAINED & USE PROPER VALVES & FITTINGS. CIP TANK COVERED. PAGE S lZ/Z3/88 lB:SM MATERIAL SAFETY OflTfl SYSTEMS, INC, (805) G48-G8~)0 CIT:Y of BAKERSFIELD NON--TRADE SECRETS ' Pege .... of .... C~e C~e Mt Mt Est Units m Site lp ~ la ~ St~ tn FKtltty (C~k all t~t I~ly) ~? (C~k ell t~t apply) (C~k ~ll t~t ~pply) NNlth of P~lu~ NMIth 3q M~lth - of erasure Health at 13 ~ iC.l.S. ~e ~(erttficatf~ (Reed and sJ~ after colpJetJng a/J sections/ for,~r~aifling t~ inf~ttffi. I ~iieve t~t t~ su~itt~ info~ti~ iS t~, accurate, and c~plete. ~ A A .'" ' BAKERSFIELD CITY FIRE DEPARTMENT > 2130 "G" STREET (805) 326-3979 OFFICIAL USE ONLY BUSINESS NAME HAZARDOUS MATERI ALS BUSINESS PLAN AS A WHOLE : FORM 2A INSTRUCTIONS: 1. To avoid further action, return this form by 2. TYPE/PRINT ANSWERS IN ENGLISH. 3. Answer the questions below for the business as a whole. 4. Be as brief and concise as possible. SECTION 1: BUSINESS IDENTIFICATION DATA A. BUSINESS NAME: ~el3 B. LOCATION / STREET ADDRESS: C I TY: ~/~., ./~ ~ ,~/~/d/ .~. ZIP: SECTION 2: EMERGENCY NOTIFICATIONS In case of an emergency involving the release or threatened release of a hazardous material, call 911 and 1-800-852-7550 or 1-916-427-4341. Thi§ wi].l notify your local fire department and the State Office of Emergency Services as req~lired by law. EMPLOYEES TO NOTIFY IN CASE OF EMERGENCY: NAME AND TI_~E DURING BUS. HRS. AFTER BUS. HRS. B. Ph~ Ph~ SECTION 3: LOCATION OF UTILITY SHUT-OFFS FOR BUSINESS AS A WHOLE E. LOCK BOX: YES / N~ IF YES, LOCATION: IF YES, DOES IT CONTAIN SITE PLANS? YES / NO MSDSS? YES / NO FLOOR PLANS? YES / NO KEYS? YES / NO - 2A - SECTION 4: PRIVATE RESPONSE TEAM FOR BUSINESS AS A WHOLE . SECTION 5: LOCAL EMERGENCY MEDICAL ASSISTANCE FOR YOUR BUSINESS AS A WHOLE SECTION 6: EMPLOYEE TRAINING EMPLOYERS ARE REQUIRED TO HAVE A PROGRAM WHICH PROVIDES EMPLOYEES WITH INITIAL AND REFRESHER TRAINING IN THE FOLLOWING AREAS. CIRCLE YES OR NO INITIAL' REFRESHER A. METHODS FOR SAFE HANDLING OF HAZARDOUS MATERIALS:.... .................................... ~ NO YES NO B. PROCEDURES FOR COORDINATING ACTIVITIES WITH RESPONSE AGENCIES: ..... ~ .................... NO .YES NO " C. PROPER USE OF SAFETY EQUIPMENT:... ................ N0 'YES NO D. EMERGENCY EVACUATION PROCEDURES:.., ............... ~ YES NO E. DO YOU MAINTAIN EMPLOYEE TRAINING RECORDS: ....... N~ YES NO SECTION ?: .AZA OUS CIRCLE YES OR NO DOES YOUR BUSINESS HANDLE HAZARDOUS MATERIAL IN QUANTITIES LESS THAN 500 POUN~F A SOLID, 55 GALLONS OF A LIQUID, OR 200 CUBIC FEET OF A COMPRESSED GAS: ...... ('YES,/ NO I, ~O. //~, /'3~,~c,~/ , certify that the above information is accurate. I f-fdGrsGana' that-t~d info~mation will be used to fulfill my firm's obligations under thy new CaliforniaL~ealth and Safety code on Hazardous Materials (Div. 20 Chapter 6.'95 Sec. 25500 Et Al..) and that inaccurate information constitutes perjury. BAKERSFIELD CITY FIRE DEPARTMENT 2130 "G" STREET BAKERSFIELD, CA 93301 OFFICIAL USE ONLY BUSINESS NAME: ~'~ BUSI NESS PLAN SINGLE FACILITY UNIT FORM 3A INSTRUCTIONS · :'~.- 1. To avoid further action, this form must be returned by: 2. TYPE/PRINT YOUR ANSWERS IN ENGLISH. 3. Answer the questions below for THE FACILITY UNIT LISTED BELOW 4. Be as BRIEF and CONCISE as .possible. .: .. ' '' "~' '. FACILITY UNIT# ~ ~ FACILITY UNIT NAME: .~.-- SECTION 1: MITIGATION, PREVENTION, ABATEMENT PROCEDURES SECTION 2: NOTIFICATION .%YD EVACUATION PROCED.URES AT THIS 5~'IT ONLY SECTION 3: HAZARDOUS MATERIALS FOR THIS UNIT ONLY A. Does this Facility Unit contain Hazardous Materials? ...... Y~ NO If YES, see B. If NO, continue with SECTION 4. B. Are any of the hazardous materials a bona fide Trade Secret YES If No, complete a separate hazardous materials inventory form marked: NON-TRADE SECRETS ONLY (~vhite form ~4A-1) If Yes, complete a hazardous materials inventory form marked: TRADE SECRETS ONLY (yellow form ~4A-2) in addition to the non-trade secret form· List only the trade secrets on form 4A-2. SECTION 4: PRIVATE FIRE PROTECTION *SECTION 8: L~CATION 0F WATER SUPPLY FOR USE BY E~RGENCY RES~0N~ERS SECTION 6: LOCATION OF UTILITY SHUT-OFFS AT THIS b~."IT ONLY. A. NAT. GAS/PROPANE': B. ELECTRICAL: 7- ' /.%. Sro v C. WATER: D SPEC!.7 · C' YES '/NO} IF YES LOCATION: E LO..R BOX: ...' , YES, STTE.PLANS? YES / NO .tSDgs., YES 5:0 FLOOR Pr. ANS? YES /' NO ~EYS? YES ." NO - SB - I D # 30~/3 FORM 4A-1 Page of NON--TRADE SECRETS HAZARDOUS MATERI ALS I NVENTORY PHONE ~~-5'-'~'~'1'3~- ' ' ' ' PHONE *: OFFICIAL USE CFIRS CODE ........ ONLY I 2 3 4 5 6 7 8 9 10 TYPE. MAX ANNUAL CONT USE LOCATION IN THIS · BY HAZARD D.O.T CODE AMOUNT AMOUNT UNIT CODE CODE FACILITY UNIT WT. CHEMIqAL OR COMMON NAME CODE OUID~ EMERGENCY CONTACT: - 'TITLE: ~- PHONE-~US HdURS: AFTER BUS HRS: Oa ~'HEBGENCY CONTACT: TITLE~: .. PBONE ~ BUS HOURS: ~RINCIPAL BUSINESS ACTIVITY: AFTER BUS HRS: